Thymoquinone inhibits tumor angiogenesis and tumor ... - CiteSeerX

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Thymoquinone inhibits tumor angiogenesis and tumor growth through suppressing AKT and extracellular signal-regulated kinase signaling pathways Tingfang Yi,1 Sung-Gook Cho,1 Zhengfang Yi,3 Xiufeng Pang,1,3 Melissa Rodriguez,1 Ying Wang,1 Gautam Sethi,2 Bharat B. Aggarwal,2 and Mingyao Liu1,3 1

Center for Cancer and Stem Cell Biology, Institute for Bioscience and Technology, Texas A&M University System Health Science Center; 2Cytokine Research Laboratory, Department of Experimental Therapeutics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas; and 3Institute of Biomedical Sciences, School of Life Sciences, East China Normal University, Shanghai, People’s Republic of China

Abstract Thymoquinone, a component derived from the medial plant Nigella sativa, has been used for medical purposes for more than 2,000 years. Recent studies reported that thymoquinone exhibited inhibitory effects on cell proliferation of many cancer cell lines and hormone-refractory prostate cancer by suppressing androgen receptor and E2F-1. Whether thymoquinone inhibits tumor angiogenesis, the critical step of tumor growth and metastasis, is still unknown. In this study, we found that thymoquinone effectively inhibited human umbilical vein endothelial cell migration, invasion, and tube formation. Thymoquinone inhibited cell proliferation and suppressed the activation of AKT and extracellular signal-regulated kinase. Thymoquinone blocked angiogenesis in vitro and in vivo, prevented tumor angiogenesis in a xenograft human prostate cancer (PC3) model in mouse, and inhibited human prostate tumor growth at low dosage with almost no chemotoxic side effects. Furthermore, we observed that endothelial cells were more sensitive to thymoquinone-induced cell apoptosis, cell proliferation, and migration inhibition compared with PC3 cancer cells. Thymoquinone inhibited vascular endothelial growth factor – induced extracellular

Received 2/4/08; revised 4/12/08; accepted 4/18/08. Grant support: National Cancer Institute/NIH grant 1R01CA106479 (M. Liu). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Note: T. Yi, S-G. Cho, and Z. Yi contribute equally to this work. Requests for reprints: Mingyao Liu, Center for Cancer and Stem Cell Biology, Institute for Bioscience and Technology, Texas A&M University System Health Science Center, 2121 West Holcombe Boulevard, Houston, TX 77030. Phone: 713-677-7505; Fax: 713-677-7512. E-mail: [email protected] Copyright C 2008 American Association for Cancer Research. doi:10.1158/1535-7163.MCT-08-0124

Mol Cancer Ther 2008;7(7). July 2008

signal-regulated kinase activation but showed no inhibitory effects on vascular endothelial growth factor receptor 2 activation. Overall, our results indicate that thymoquinone inhibits tumor angiogenesis and tumor growth and could be used as a potential drug candidate for cancer therapy. [Mol Cancer Ther 2008;7(7):1789 – 96]

Introduction Thymoquinone (C10H12O2; molecular weight: 164.2), the main bioactive component of the volatile oil of the black seed (Nigella sativa, Ranunculaceae family), has been used as antioxidant, anti-inflammatory, and antineoplastic medicines for more than 2,000 years (1, 2). Previous studies reported that thymoquinone exhibited inhibitory effects on cell proliferation of many types of cancer cell lines, including breast adenocarcinoma, ovarian adenocarcinoma (3), colorectal cancer (4), human pancreatic adenocarcinoma, uterine sarcoma (5), neoplastic keratinocytes (6), human osteosarcoma (7), fibrosarcoma, lung carcinoma (8), etc. Recently, Ahmed et al. reported that thymoquinone targeted androgen receptor and transcription factor E2F-1 and inhibited hormone-refractory prostate cancer (8). As angiogenesis is critically important for the growth of solid tumors not only by supplying with oxygen and nutrients for the survival of tumor cells but also by providing the route for metastatic spread. Therefore, angiogenesis has been an attractive target for tumor therapy (9, 10). The accumulated evidence has confirmed the importance of angiogenesis and validated the theory that inhibition of neovascularization is a promising anticancer strategy (11 – 13). Although Erdurmus et al. reported that thymoquinone showed inhibitory effects on corneal neovascularization in the rat model (14), whether thymoquinone inhibits tumor angiogenesis and suppresses prostate tumor growth through tumor angiogenesis prevention is still not fully understood. Endothelial cells play a major role in each step of tumor angiogenesis, including endothelial cell migration, proliferation, invasion, adhesion, and tube formation (15, 16). Among the endothelial cell signaling pathways that regulates endothelial cell migration, proliferation, growth, and survival, the two major pathways are phosphatidylinositol 3-kinase-AKT and Raf-MEK-extracellular signalregulated kinase (ERK) pathways. Activation of these two pathways in endothelial cells is necessary for angiogenesis (17, 18). AKT (protein kinase B), a serine/threonine-specific protein kinase, is a pivotal node involved in essential cellular functions of endothelial cells such as migration, growth, proliferation, apoptosis, and metabolism. AKT regulates endothelial nitric oxide synthase activation (19), stimulating vasodilation, vascular remodeling, and

1790 Thymoquinone Inhibits Angiogenesis and Tumor Growth

angiogenesis (20). AKT signaling stimulates the production of hypoxia-inducible factor-a transcription factors and thereby mediates secretion of vascular endothelial growth factor (VEGF) and other growth factors, which are important proangiogenic factors (21, 22). ERK is a critical kinase in regulating endothelial cell cycle, proliferation, growth, migration, and apoptosis (23). On the extracellular growth factor stimulation, the activated ERK regulates its many substrates, such as nuclear factor-nB and c-Jun, and thereby regulates angiogenesis. ERK is also necessary for endothelial nitric oxide synthase activation (17, 24). Here, we have investigated whether thymoquinone inhibited angiogenesis through suppression of intracellular signaling pathways. We found that thymoquinone can inhibit human umbilical vein endothelial cell (HUVEC) migration, invasion, proliferation, and tube formation by decreasing AKT/ERK activation. Thymoquinone also blocks angiogenic properties in both in vitro aortic ring assay and in vivo Matrigel plug assays. Furthermore, thymoquinone inhibits tumor angiogenesis and thereby prevents human prostate tumor growth at low dosage in xenograft mouse models.

Materials and Methods Animals, Cell Lines, and Reagents Severe combined immunodeficient male mice (5-6 weeks old) were purchased from the National Cancer Institute. Thymoquinone was ordered from Sigma-Aldrich. HUVEC were kindly gifted from Dr. Xinli Wang (Cardiothoracic Surgery Division, Michael E. DeBakey Department of Surgery, Baylor College of Medicine Hospital). The human prostate cancer cell line (PC3) was purchased from the American Type Culture Collection and maintained in a mixture of RPMI 1640 and 10% fetal bovine serum. Matrigel was ordered from BD Biosciences. HTScan VEGF receptor 2 (VEGFR2) kinase assay kit was ordered from Cell Signaling Technology. Horseradish peroxidase – labeled secondary antibody, TMB substrate, and stop solution were kindly gifted by Cell Signaling Technology. Streptavidin-coated yellow 96-well plates were kindly gifted by Perkin-Elmer Life Sciences. Proliferation Assay Cell proliferation assay with different concentration of thymoquinone was done as following the manual (Promega; CellTiter 96 Aqueous One Solution Cell Proliferation Assay). Flow Cytometry Fluorescence-Activated Cell Sorting Analysis Either HUVEC or PC3 cells (f2 106) were treated with different concentrations of thymoquinone at 37jC, 5% CO2 incubator for 24 h. The cells were collected, stained with propidium iodide, and subjected to the flow cytometry analysis. The percentage at sub-G1 was defined as the apoptotic population. Migration Assay Migration assay was done as described previously (25). HUVEC were allowed to grow to confluence on six-well

plates precoated with 0.1% gelatin and inactivated by 0.1% mitomycin C as described previously. Monolayer cells were wounded by scratching with 1 mL pipette tips and washed twice with 1 PBS. Fresh endothelial cell growth medium was added with 4 nmol/L VEGF, which was received from the NIH Experimental Branch, and with different concentrations of thymoquinone. Images were taken after 7 to 10 h of incubation at 37jC, 5% CO2 by Nikon digital camera. The migrated HUVEC were qualified by manual counting. Similar patterns of the inhibition effects were observed in three independent experiments. Transwell Invasion Assay The Transwell (Corning) was coated with Matrigel (BD Biosciences) and incubated at 37jC for 45 min. The bottom chambers (600 AL) were filled with endothelial cell growth medium with 20% fetal bovine serum supplemented with 4 nmol/L VEGF and the top chambers were seeded with 100 AL endothelial cell growth medium and HUVEC (4 104 per well). The top and bottom chambers contained the same series of concentration of thymoquinone. HUVEC were allowed to migrate for 4 h at 37jC, 5%CO2. After the incubation, cells on the top surface of the membrane (nonmigrated) were scraped with a cotton swab. Cells on the bottom side of the membrane (migrated cells) were fixed with 4% paraformaldehyde for 20 min and washed three times with 1 PBS. The cells were stained by H&E staining and then destained with 1 PBS (pH 7.4). The membranes were left to air dry at room temperature for 30 min. Images were taken using Olympus inverted microscope. Three independent areas per well were counted and the mean number of migrated cells was calculated. Tube Formation Assay Matrigel was dissolved at 4jC for overnight, and each well of prechilled 24-well plates was coated with 100 AL Matrigel and incubated at 37jC for 45 min. HUVEC (4 104) were added in 1 mL endothelial cell growth medium with various concentration of thymoquinone. After 12 to 16 h of incubation at 37jC, 5% CO2, endothelial cell tube formation was assessed with an inverted photomicroscope. Tubular structures were quantified by manual counting of low-power fields and percent inhibition was expressed using untreated wells as 100%. Aortic Ring Assay The aortic ring assay was done as described previously (25). Matrigel Plug Assay Matrigel (0.5 mL/plug) containing no VEGF, 4 nmol/L VEGF, or a mixture of VEGF (4 nmol/L) and 1 (or 10) Amol/L thymoquinone was injected s.c. in the midventral abdominal region of 5- to 6-week-old C57BL/6 mice (five mice for each group). After 7 days, the plugs were removed from the sacrificed mice. The Matrigel plugs were fixed with formalin and embedded with paraffin. The 5 Am sections were stained with H&E staining. The number of erythrocyte-filled blood vessels was counted (200 fold magnification). Western Blotting Total protein (200 Ag) of the cells of each sample was done for the immunoprecipitation with anti-c-Src antibody Mol Cancer Ther 2008;7(7). July 2008

Molecular Cancer Therapeutics

(Santa Cruz Biotechnology) and then followed by Western blotting. The pTyr antibody (Santa Cruz Biotechnology) was used for detecting c-Src phosphorylation, and the pFAK397 antibody (Cell Signaling) was blotted for FAK phosphorylation. AKT phosphorylation was examined using pSer473-AKT antibody (Cell Signaling). Anti-cleaved caspase-3 (Santa Cruz Biotechnology) was used for detecting apoptosis. Poly(ADP-ribose) polymerase cleavage was detected by anti – poly(ADP-ribose) polymerase antibody (Zymed Laboratory). Xenograft Mouse Model The 5- to 6-week-old severe combined immunodeficient male mice weighing f20 g were divided into groups (five mice each group). PC3 cancer cells were s.c. injected (2 106 per mouse) into the mice. After the tumors had become established (f50 mm3), the mice were s.c. injected with or without 6 mg/kg thymoquinone every day. The body weights and tumor sizes were recorded every day, and the tumor size was determined by a Vernier caliper measurement. After 15 days, mice with s.c. tumors were sacrificed. Histology and Immunohistochemistry The tumors were removed, fixed with Histochoice MB (Molecular Biology) tissue fixative (Amresco), and embedded with parafilm. The 5 Am sections were done for the blood vessel staining (Chemicon International; blood vessel staining kit, peroxidase system). The number of blood vessel in 200 magnification was counted.

Figure 1.

Thymoquinone inhibits HUVEC migration, invasion, and tube formation. A, inhibitory effect of thymoquinone on HUVEC migration. Inactivated HUVEC were subjected to wound-healing migration assays and the migrated cells were counted. B, effect of thymoquinone on HUVEC invasion assay using Transwell. Red cells with irregular shape were invaded cells attached on the outside surface of the top chamber. C, inhibitory effect of thymoquinone on HUVEC tubule-like structure formation. Tubule-like structure was quantified by manual counting of low-power fields (25). Percent inhibition was expressed using untreated wells as 100% (n = 3). *, P < 0.05; **, P < 0.01.


VEGFR2 Inhibition Assay A 4 reaction cocktail containing 100 ng VEGFR2 (12.5 AL; supplied from the HTScan VEGFR2 kinase assay kit; Cell Signaling Technology) was incubated with 12.5 AL/tube of series of concentration of thymoquinone for 5 min at room temperature. A 2 ATP/substrate peptide cocktail (25 AL) was added to the preincubated reaction cocktail/thymoquinone compound. After incubation at room temperature for 30 min, a 50 AL stop buffer (50 mmol/L EDTA; pH 8) was added per tube to stop the reaction. Then, 25 AL of each reaction were transferred with 75 AL H2O/well to a 96-well streptavidin-coated plate (Perkin-Elmer Life Sciences) and incubated at room temperature for 60 min. After washing the wells three times with 200 AL/well PBS-T (0.05% Tween 20 in 1 PBS), a 100 AL primary antibody [phosphotyrosine monoclonal antibody (PTyr100), 1:1,000 in PBS-T with 1% bovine serum albumin] was added per well. After being incubated at room temperature for 60 min, the wells were washed three times with 200 AL PBS-T. A 100 AL diluted horseradish peroxidase – labeled anti-mouse IgG (1:500 in PBS-T with 1% bovine serum albumin) was added per well. After incubation at room temperature for 30 min, the wells were washed five times with 200 AL PBS-T/well. Then, a 100 AL/well TMB substrate was added per well and the plate was incubated at room temperature for 15 min. The stop solution (100 AL/well) was added and mixed followed by incubation at room temperature 15 min. The plate was then detected at 405 nm with

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Figure 2. Thymoquinone inhibits angiogenesis in vitro and in vivo. A, effects of thymoquinone on angiogenesis in vitro . Images were taken using Olympus IX 70 invert microscope and microvessel outgrowth was counted as methods described previously (aortic ring number = 4). *, P < 0.05. B, inhibitory effects of thymoquinone on VEGF-induced angiogenesis in vivo (plug number = 5). *, P < 0.05; **, P < 0.01.

VERSAmax microplate reader (Molecular Devices) and the data were repeated three times. Statistical Analysis Three independent experiments were done, and data were presented as mean F SE. Statistical significance of differences in control and sample groups was determined by using t test (maximum P < 0.05).

Results Thymoquinone Inhibits HUVEC Migration, Invasion, and Tube Formation As endothelial cell migration is an important step of angiogenesis (26), we did wound-healing migration assay to determine the effects of thymoquinone on HUVEC migration and found that thymoquinone inhibited HUVEC migration in a concentration-dependent manner (Fig. 1A). Then, in the following Transwell assay in Fig. 1B, thymoquinone significantly inhibited HUVEC invasion at 80 to 100 nmol/L. In tube formation assay, we found that thymoquinone significantly blocked HEVEC tube formation at 100 nmol/L (Fig. 1C). Thymoquinone Inhibits Angiogenesis In vitro and In vivo To ascertain the inhibitory effect of thymoquinone on angiogenesis, we did aortic ring assay. As shown in Fig. 2A, thymoquinone inhibited microvessel growth in vitro from 50 to 100 nmol/L (Fig. 2A) after 4 days of incubation, suggesting that thymoquinone inhibits angiogenesis in vitro. To confirm the antiangiogenesis effects of thymoquinone in vivo, Matrigel plug assays were done with different concentrations. As shown in Fig. 2B, 1 Amol/L thymoquinone significantly inhibited VEGF-induced angiogenesis, whereas 10 Amol/L thymoquinone almost completely abolished angiogenesis in the Matrigel plug assays (Fig. 2B), indicating that thymoquinone effectively inhibited angiogenesis in vivo.

Thymoquinone Inhibits Tumor Angiogenesis and Arrests ProstateTumor Growth To investigate thymoquinone-induced inhibition of tumor angiogenesis in vivo, we used the xenograft mouse model with human prostate cancer cells (PC3). PC3 cancer cells (2 106 per mouse) were injected s.c. into the mice (five mice for each group). After the tumors have become established (f50 mm3), the mice were s.c. injected with or without thymoquinone at a dosage of 6 mg/kg/d. After 15 days, mice were sacrificed and the tumors were removed. As shown in Fig. 3A and B, thymoquinone effectively prevented the tumor growth in both size (thymoquinone-treated group 184.2 F 25.8 mm3 versus control group 1,143.98 F 169.14 mm 3 ) and weight (thymoquinone-treated group 0.013 F 0.002 g versus control group 0.3 F 0.07 g). In further analyses of the tumor sections treated and untreated with thymoquinone, respectively, we found that thymoquinone significantly inhibited tumor angiogenesis as it decreased the number of blood vessels in the tumor (thymoquinone-treated group 2.8 F 0.8 per high-field performance versus control group 17 F 2.4 per high-field performance; Fig. 3C). At the concentration used in the xenograft mouse model, thymoquinone shows no toxicity as measured by mouse body weights in control and thymoquinone-treated groups. The average mouse body weight of control group decreased from 22.28 F 1.22 to 21.24 F 1.32 g, whereas that of thymoquinone-treated group increased from 22 F 1.5 to 24.4 F 1.2 g (Fig. 3D). The slight decrease of the control group is due to the growth of tumors in the xenograft mice. HUVEC Are More Sensitive to ThymoquinoneInduced Apoptosis and Inhibition in Cell Migration and ProliferationThan PC3 Cancer Cells To analyze whether the inhibition of tumor growth by thymoquinone primarily resulted from antiangiogenesis, Mol Cancer Ther 2008;7(7). July 2008


we evaluate whether thymoquinone has different effects on endothelial cells compared with cancer cells. We first compared the inhibition of thymoquinone on HUVEC and PC3 cell migration induced by VEGF. As shown in Fig. 4A, HUVEC were 10-fold more sensitive to thymoquinone inhibition on cell migration compared with PC3 cancer cells and the inhibitory effect of 0.1 Amol/L in HUVEC is equivalent to 1 Amol/L in PC3 tumor cells (Fig. 4A and B). Furthermore, we found that HUVEC were more sensitive than PC3 cancer cells to thymoquinone-induced inhibition in cell proliferation (Fig. 4C and D) and promotion in cell apoptosis assays (Table 1). These data indicate that HUVEC are more sensitive to thymoquinone-induced apoptosis and inhibition in cell migration and proliferation compared with PC3 cancer cells, suggesting that thymoquinone may target tumor angiogenesis at a lower dosage and then effectively inhibit tumor growth.

Figure 3. Thymoquinone inhibits tumor angiogenesis and prevents tumor growth in vivo . A, effects of thymoquinone on tumor volume growth. B, effects of thymoquinone on the increase of tumor weight. C, inhibition of thymoquinone on tumor angiogenesis. The number of microvessels was significantly decreased. D, effects of thymoquinone on mouse body growth (mouse number = 5). **, P < 0.01; ***, P < 0.001. Mol Cancer Ther 2008;7(7). July 2008

Thymoquinone Suppresses VEGF-Dependent ERK Activation but Is Not a VEGFR2 Inhibitor VEGFR2 plays a major role in VEGF-dependent angiogenesis. To investigate the molecular mechanism of thymoquinone-induced inhibition on VEGF-dependent angiogenesis, we examined the thymoquinone effects on VEGFR2 activation with a VEGFR2-specific activation assay. We found that thymoquinone showed very little inhibitory effects on VEGFR2 (Fig. 5A), suggesting that thymoquinone was not a direct VEGFR2 inhibitor. As shown in Fig. 5B, thymoquinone could effectively suppress VEGF-dependent ERK activation at 10 nmol/L. Taken together, thymoquinone inhibit angiogenesis by suppressing VEGF-induced ERK activation but has no direct effect on VEGFR2 activation. Thymoquinone Induces Cell Apoptosis Pathways We have shown that thymoquinone significantly induced HUVEC apoptosis in a dose-dependent manner (Table 1).

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Figure 4.

Sensitivity of HUVEC and tumor cells to thymoquinone. Effects of thymoquinone on cell migration of VEGF-induced HUVEC (A) and PC3 cancer cells (B). Inhibitory effects of thymoquinone on HUVEC (C) and PC3 ( D ) cancer cell proliferation (n = 3). *, P < 0.05; **, P < 0.01; ***, P < 0.001.

As shown in Fig. 5C, thymoquinone induced the activation of caspase-3 cleavage at 40 nmol/L and the data were confirmed by the increased cleavage of poly(ADP-ribose) polymerase in the absence or presence of VEGF. Furthermore, one of the key kinases involved in cell survival and apoptosis, AKT, was also significantly inhibited by thymoquinone at 20 to 40 nmol/L (Fig. 5D).

Discussion Based on our present results, we conclude that thymoquinone effectively inhibits endothelial cell migration, invasion, proliferation, and tube formation, prevents angiogenesis in vitro and in vivo, and suppresses tumor angiogenesis and tumor growth in vivo. Thymoquinone inhibits angiogenesis by suppressing the activation of VEGF-induced ERK and AKT but is not a VEGFR2 inhibitor. This is the first report to comprehensively show that thymoquinone inhibits angiogenesis and tumor growth at low dosages by blocking tumor angiogenesis. The known angiogenesis inhibitors always inhibit one or several steps of angiogenesis by targeting endothelial cells (27). Here, we not only showed that thymoquinone effectively inhibited endothelial cell migration, invasion, proliferation, and tube formation but also identified that thymoquinone inhibited angiogenesis in vitro and in vivo, suggesting that thymoquinone is an angiogenesis inhibitor. Furthermore, we found that thymoquinone inhibited tumor angiogenesis and prevented prostate tumor growth in vivo at low dosage of 6 mg/kg/d in xenograft mouse model. We also elucidated that endothelial cells were more sensitive to thymoquinone-caused apoptosis (Table 1) and inhibition in cell migration and proliferation compared with PC3 cancer cells. As prostate cancer is predominantly

a tumor of old men with limited treatment options for the coexisting illnesses, the lower dosage used, the less chemotoxic side effects (11). Our data indicate that thymoquinone is a potential drug candidate for treating human prostate tumor. AKT is a critical regulator generally involved in cell cycle, proliferation, and apoptosis through regulating gene expression, protein synthesis, and transcription procedure (20). ERK is an important factor in mediating cell proliferation, survival, and cell migration (17). Both AKT and ERK activation are necessary for essential cellular procedures of endothelial cells and angiogenesis (17). Here, we showed that thymoquinone inhibited the activation of both AKT and ERK (VEGF dependent or VEGF independent) in endothelial cells. However, thymoquinone had no inhibitory effects on VEGFR2 activation in a specific VEGFR2 assay. Other than VEGF, there are many other proangiogenic growth factors, such as fibroblast growth factors, placental growth factor, and platelet-derived growth factor (28). Almost all of these proangiogenic growth factors regulate angiogenesis through AKT and ERK signaling pathways (28 – 30). Therefore, thymoquinone

Table 1. Thymoquinone activates apoptosis in HUVEC and PC3 cancer cells Thymoquinone (nmol/L)

PC3 HUVEC

Apoptotic population (% total cells) 0

25

50

100

2.3 F 0.6 2.7 F 1.5

3.9 F 0.5 24.5 F 1.2

3.5 F 0.2 28.4 F 1.6

4.8 F 1.8 45 F 2.6



Figure 5.

Effects of thymoquinone on VEGFR2 activation and signaling pathways. A, thymoquinone has little effect of the activation of VEGFR2. B, effects of thymoquinone on VEGF-dependent ERK activation. C, thymoquinone induces the levels of cleaved caspase-3 and the increased levels of cleaved poly(ADP-ribose) polymerase by thymoquinone are independent of VEGF in HUVEC. HUVEC were treated with thymoquinone at the indicated concentrations for 24 h and whole-cell proteins were assessed by Western blotting. VEGF (4 ng/mL) was used in the poly(ADP-ribose) polymerase cleavage assay. D, thymoquinone inhibited the activation of AKT at 20 to 40 nmol/L. HUVEC were treated with the indicated amount of thymoquinone for 5 min.

may inhibit angiogenesis/tumor angiogenesis through suppressing AKT/ERK signaling pathways but not directly inhibit VEGFR2 activation. The efficacy of angiogenesis inhibitors depend on the tumor stage: premalignant, small tumor, and large tumor (31, 32). We concluded that thymoquinone can effectively inhibit prostate tumor growth at small tumor stage (50 mm3) at the dose of 6 mg/kg/d. In summary, we systemically showed that thymoquinone, the major biologically active component of the natural medicine of N. sativa, inhibited endothelial cell migration, invasion, proliferation, and tube formation, effectively inhibited angiogenesis in vitro and in vivo, and prevented tumor growth in a xenograft mouse model with a low dosage by blocking tumor angiogenesis. We identified that thymoquinone inhibited angiogenesis by suppressing AKT/ERK signaling pathway activation. Together, these data suggest that thymoquinone is a potential drug candidate for cancer chemotherapies with low chemotoxic side effects.

5. Worthen DR, Ghosheh OA, Crooks PA. The in vitro anti-tumor activity of some crude and purified components of blackseed, Nigella sativa L. Anticancer Res 1998;18:1527 – 32.

Disclosure of Potential Conflicts of Interest

15. Coultas L, Chawengsaksophak K, Rossant J. Endothelial cells and VEGF in vascular development. Nature 2005;438:937 – 45.

No potential conflicts of interest were disclosed.

References 1. Trang NT, Wanner MJ, Phuong le VN, Koomen GJ, Dung NX. Thymoquinone from Eupatorium ayapana . Planta Med 1993;59:99. 2. Hosseinzadeh H, Parvardeh S. Anticonvulsant effects of thymoquinone, the major constituent of Nigella sativa seeds, in mice. Phytomedicine 2004;11:56 – 64. 3. Shoieb AM, Elgayyar M, Dudrick PS, Bell JL, Tithof PK. In vitro inhibition of growth and induction of apoptosis in cancer cell lines by thymoquinone. Int J Oncol 2003;22:107 – 13. 4. Gali-Muhtasib H, Diab-Assaf M, Boltze C, et al. Thymoquinone extracted from black seed triggers apoptotic cell death in human colorectal cancer cells via a p53-dependent mechanism. Int J Oncol 2004;25:857 – 66.


6. Gali-Muhtasib HU, Abou Kheir WG, Kheir LA, Darwiche N, Crooks PA. Molecular pathway for thymoquinone-induced cell-cycle arrest and apoptosis in neoplastic keratinocytes. Anticancer Drugs 2004;15: 389 – 99. 7. Roepke M, Diestel A, Bajbouj K, et al. Lack of p53 augments thymoquinone-induced apoptosis and caspase activation in human osteosarcoma cells. Cancer Biol Ther 2007;6:160 – 9. 8. Kaseb AO, Chinnakannu K, Chen D, et al. Androgen receptor and E2F-1 targeted thymoquinone therapy for hormone-refractory prostate cancer. Cancer Res 2007;67:7782 – 8. 9. Cooney MM, van Heeckeren W, Bhakta S, Ortiz J, Remick SC. Drug insight: vascular disrupting agents and angiogenesis—novel approaches for drug delivery. Nat Clin Pract Oncol 2006;3:682 – 92. 10. Bergers G, Benjamin LE. Tumorigenesis and the angiogenic switch. Nat Rev Cancer 2003;3:401 – 10. 11. Lara PN, Jr., Twardowski P, Quinn DI. Angiogenesis-targeted therapies in prostate cancer. Clin Prostate Cancer 2004;3:165 – 73. 12. Gasparini G, Longo R, Toi M, Ferrara N. Angiogenic inhibitors: a new therapeutic strategy in oncology. Nat Clin Pract Oncol 2005;2:562 – 77. 13. Kerr DJ. Targeting angiogenesis in cancer: clinical development of bevacizumab. Nat Clin Pract Oncol 2004;1:39 – 43. 14. Erdurmus M, Yagci R, Yilmaz B, et al. Inhibitory effects of topical thymoquinone on corneal neovascularization. Cornea 2007;26:715 – 9.

16. Jain RK. Molecular regulation of vessel maturation. Nat Med 2003;9: 685 – 93. 17. Murphy DA, Makonnen S, Lassoued W, Feldman MD, Carter C, Lee WM. Inhibition of tumor endothelial ERK activation, angiogenesis, and tumor growth by sorafenib (BAY43-9006). Am J Pathol 2006;169:1875 – 85. 18. Somanath PR, Razorenova OV, Chen J, Byzova TV. Akt1 in endothelial cell and angiogenesis. Cell Cycle 2006;5:512 – 8. 19. Dimmeler S, Fleming I, Fisslthaler B, Hermann C, Busse R, Zeiher AM. Activation of nitric oxide synthase in endothelial cells by Akt-dependent phosphorylation. Nature 1999;399:601 – 5. 20. Manning BD, Cantley LC. AKT/PKB signaling: navigating downstream. Cell 2007;129:1261 – 74. 21. Semenza GL. Targeting HIF-1 for cancer therapy. Nat Rev Cancer 2003;3:721 – 32.

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22. Gordan JD, Simon MC. Hypoxia-inducible factors: central regulators of the tumor phenotype. Curr Opin Genet Dev 2007;17:71 – 7. 23. Huang D, Ding Y, Luo WM, et al. Inhibition of MAPK kinase signaling pathways suppressed renal cell carcinoma growth and angiogenesis in vivo . Cancer Res 2008;68:81 – 8. 24. Liu L, Cao Y, Chen C, et al. Sorafenib blocks the RAF/MEK/ERK pathway, inhibits tumor angiogenesis, and induces tumor cell apoptosis in hepatocellular carcinoma model PLC/PRF/5. Cancer Res 2006;66:11851 – 8. 25. Yi T, Yi Z, Cho SG, et al. Gambogic acid inhibits angiogenesis and prostate tumor growth by suppressing vascular endothelial growth factor receptor 2 signaling. Cancer Res 2008;68:1843 – 50. 26. Park HJ, Zhang Y, Georgescu SP, Johnson KL, Kong D, Galper JB. Human umbilical vein endothelial cells and human dermal microvascular endothelial cells offer new insights into the relationship between lipid metabolism and angiogenesis. Stem Cell Rev 2006;2:93 – 102.

27. Kesisis G, Broxterman H, Giaccone G. Angiogenesis inhibitors. Drug selectivity and target specificity. Curr Pharm Des 2007;13: 2795 – 809. 28. Perona R. Cell signalling: growth factors and tyrosine kinase receptors. Clin Transl Oncol 2006;8:77 – 82. 29. Lu B, Shinohara ET, Edwards E, Geng L, Tan J, Hallahan DE. The use of tyrosine kinase inhibitors in modifying the response of tumor microvasculature to radiotherapy. Technol Cancer Res Treat 2005;4: 691 – 8. 30. Kim DW, Lu B, Hallahan DE. Receptor tyrosine kinase inhibitors as anti-angiogenic agents. Curr Opin Investig Drugs 2004;5:597 – 604. 31. Folkman J. Angiogenesis: an organizing principle for drug discovery? Nat Rev Drug Discov 2007;6:273 – 86. 32. Folkman J. Is angiogenesis an organizing principle in biology and medicine? J Pediatr Surg 2007;42:1 – 11.
